Organization Active NPI

Lyfe Skills Collaboration

  • Community/Behavioral Health Agency
  • Winnsboro, LA
National Provider Identifier
1346966272
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LYFE SKILLS COLLABORATION
Practice address
801 Prairie St
Winnsboro, LA 71295-2631
Phone
(318) 367-5099
Fax
(318) 367-5090
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rochelle Kelly
Title
Executive Director
Phone
(318) 547-6293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

801 Prairie St
Winnsboro, LA 71295-2631

Mailing address

801 Prairie St
Winnsboro, LA 71295-2631
Phone (318) 367-5099

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1346966272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRAIRIE ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952631",
            "telephone_number": "318-367-5099",
            "fax_number": "318-367-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRAIRIE ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952631",
            "telephone_number": "318-367-5099",
            "fax_number": "318-367-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYFE SKILLS COLLABORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-547-6293"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.